How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $616.60 Median $4,073.80 Typical High $11,481.54 | Facility | None | $616.60 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | None | $478.63 | $616.60 | $724.44 |
AvMed Setting Facility Modifier None Typical Low $524.81 Median $3,548.13 Typical High $11,748.98 | Facility | None | $524.81 | $3,548.13 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $691.83 | Professional | None | $501.19 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,630.78 Typical High $6,760.83 | Facility | None | $501.19 | $3,630.78 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $891.25 | Professional | None | $467.74 | $489.78 | $891.25 |
Florida Blue Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $19,952.62 | Facility | None | $389.05 | $977.24 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $269.15 Median $575.44 Typical High $724.44 | Professional | None | $269.15 | $575.44 | $724.44 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $416.87 Typical High $1,000.00 | Professional | None | $60.26 | $416.87 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $933.25 | Professional | None | $436.52 | $562.34 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $457.09 Typical High $537.03 | Professional | 54 · Surgery only | $363.08 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $426.58 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $338.84 | $426.58 | $501.19 |
Where Florida sits
The same service costs 24.0 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 49th of 51
$490
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.